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1949-53 Adelaide outbreak
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== Onset == Onset was either gradual or sudden, often in the form of an upper respiratory tract infection and/or gastrointestinal distress with low-grade fever. Sudden onset was often accompanied by severe headache.<ref name=":12">Dr R.A. Pellew, [http://www.cabdirect.org/abstracts/19522700678.html;jsessionid=AA4534CA199AC800732B3877608F5CE0 "A Clinical Description of a Disease resembling Poliomyelitis, seen in Adelaide, 1949-1951"] ''Medical Journal of Australia'', Medical Journal of Australia 1951, June 30 Vol. 1 No. 26 pp. 944-6</ref> Pellew describes the initial symptoms as indistinguishable from poliomyelitis: "bursting [[headache]], stiff back, stiff neck, aching limbs, pain behind the eyes, [[upper respiratory tract infection]], mild [[muscle weakness]], and a fever followed by [[lysis]] over a period of three days."<ref name=":2">{{Cite journal | last = Pellew | first = R.A.A. | date = September 24, 1955 | title = Further Investigations on a Disease Resembling Poliomyelitis Seen in Adelaide | url =https://www.ncbi.nlm.nih.gov/pubmed/13272481 | journal = The Medical Journal of Australia | volume = 2 | pages = 480-2|via=}}</ref> Also noted was a rise in temperature between the seventh and tenth days, with a recurrence of symptoms.<ref name=":2" />
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